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Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Description Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The Support Specialist performs..
... Job Description Summary Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The..
... throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, ... model that is designed to support flexibility. Employees in this position ... regulations, where applicable. Provides excellent..
... are Mon-Fri, with occasional weekend support. The Supervisor, Grievances & Appeals ... team members who are providing support to members/providers focused on resolution ... supervises a group of typically..
... can deliver.Role:Are you passionate about customer success and big data? Are ... a true hybrid professional with customer acumen and a proven technical foundation? Then come be a .....
